reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 11 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) “Have you ever been touched sexually against your will If so, when did this happen By whom” When the Patient Reveals Sexual Abuse Ask whether it is still going on Does the patient still have contact with the abuser How old is the perpetrator and what is his or her relationship to the patient What is the nature of the abuse What type of coercion was used PHYSICAL EXAM • A same-sex nurse or attendant should remain in the room during the exam. • The patient's parent(s) should be asked to leave so that the young person is afforded total privacy. • Some survivors of sexual abuse may find a physical exam traumatizing. Always allow the client to reschedule, and never act impatient or annoyed if they ask to reschedule. DISCUSSION (5 MIN.) The trainer should: Ask Px, what conditions should be present when conducting a physical exam on a patient who you suspect or know has been sexually abused • Supplement or correct answers with content of the left-hand side of the page. • Tell the patient that s/he is in control of this exam. The patient should tell you to stop any time that s/he feels uncomfortable. • It is important that the provider reports observations in a non-emotional, nonjudgmental way. "I see you have a small cut here, does it hurt" • Do not explain the diagnosis or ask further questions about the possibility Pathfinder International 150 Adolescent Curriculum
Module 16/Unit 11 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) of sexual abuse until after the client is fully clothed and the exam is over. • If necessary, translate all information into client's language to make sure they understand. Pathfinder International 151 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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Table of Contents Notes to the Trai
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• 12.1: Percentage of Adolescents
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Module 16 desirable. All clinic sta
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Module 16 • Clients make their ow
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INTRODUCTION Module 16/Introduction
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Module 16/Introduction CONTENT Know
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Module 16/Unit 1 MAJOR REFERENCES A
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UNIT 3: ADOLESCENT BEHAVIOR AND LIF
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Trainer's Tools 0.1: Pre-Test Answe
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Module 16/Trainer's Tools Trainer's
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Trainer's Tool 11.1: Sexual Abuse T
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Time constraints. Trainer's Tool 11
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Module 16 List of Acronyms AIDS ARH
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reproductive health services for adolescents - Pathfinder International

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